NPIMap

Individual provider Active NPI

Suzanne L Hruza, MD

  • Diagnostic Radiology Physician
  • Omaha, NE
National Provider Identifier
1316016785
Registry record updated Feb 1, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
17935 Issued in NE
Practice address
6901 N 72ND St
Alegent Immanuel Hospital Dept of Radiology
Omaha, NE 68122-1709
Phone
(402) 572-2324
NPI assigned
Nov 7, 2006
Last updated
Feb 1, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 17935 NE Primary

Addresses

Primary practice location

6901 N 72ND St
Alegent Immanuel Hospital Dept of Radiology
Omaha, NE 68122-1709

Mailing address

PO Box 4460
Omaha, NE 68104-0460
Phone (866) 491-5807

Other identifiers 4

IdentifierTypeStateIssuer
0231191MedicaidIA
0945113MedicaidIA
1316016785MedicaidIA
2231191MedicaidIA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE, IA2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20051220000731 NE Practitioner - Diagnostic Radiology 4688696529 Reassigns benefits to 2 organizations
I20070808000543 IA Practitioner - Diagnostic Radiology 4688696529 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Nebraska College of Medicine, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Radiology Consultants PCGroup PAC ID 8325947799, 45 clinicians

Practice addresses (Care Compare)

10707 Pacific St
Suite 101
Omaha, NE 68114-4762
Phone (402) 397-7989

11111 S 84TH St
Papillion, NE 68046-4122
Phone (402) 593-3000

11902 W Ctr Rd
200 Radiology Associates PC
Omaha, NE 68144-4326
Phone (402) 592-0711

1213 Garfield Ave
Harlan, IA 51537-2057
Phone (712) 755-4316

1410 N 13TH St
Norfolk, NE 68701-2669
Phone (402) 379-2322

1501 E 10TH St
Atlantic, IA 50022-1936
Phone (712) 243-7410

16901 Lakeside Hills CT
Omaha, NE 68130-2318
Phone (402) 717-8146

1760 County Rd J
Wahoo, NE 68066-4152
Phone (402) 443-4191

220 Essie Davison Dr
Clarinda, IA 51632-2915
Phone (712) 542-2176

222 N 192ND St
Elkhorn, NE 68022-5363
Phone (402) 390-4111

555 S 70TH St
Lincoln, NE 68510-2462
Phone (402) 219-8000

603 Rosary Dr
Corning, IA 50841-1683
Phone (641) 322-6278

631 N 8TH St
Dept of Radiology
Missouri Valley, IA 51555-1102
Phone (712) 642-9204

6901 N 72ND St
Omaha, NE 68122-1709
Phone (402) 572-2324

7100 W Ctr Rd
Omaha, NE 68106-2714
Phone (402) 506-9000

7205 W Ctr Rd
Omaha, NE 68124-2380
Phone (402) 597-8775

7500 Mercy Rd
Omaha, NE 68124-2319
Phone (402) 398-5890

7950 Harrison St
La Vista, NE 68128-2912
Phone (402) 592-0711

800 Mercy Dr
Council Bluffs, IA 51503-3128
Phone (712) 328-5100

8005 Farnam Dr
Suite 305
Omaha, NE 68114-3426
Phone (402) 390-4100

810 N 22ND St
Blair, NE 68008-1128
Phone (402) 426-1116

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
17935NEMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Radiology Consultants PC Diagnostic Radiology CurrentSince Sep 1, 2007 Accepting new patients
Think Aksarben, LLC CurrentSince Feb 19, 2018 Accepting new patients
Simonmed Imaging Nebraska LLC PastSince Apr 1, 2015 Accepting new patients
Professional Medical Imaging LLC Past Accepting new patients
Alegent Creighton Health PastSince Nov 11, 2015 Accepting new patients
Midwest Medical Imaging Center Inc Diagnostic Radiology Past Accepting new patients
Alegent Health Immanuel Medical Center Past Accepting new patients

Locations

800 Mercy Dr
Council Bluffs, IA 51503
Phone (712) 328-5000

631 N 8th St
Mo Valley, IA 51555
Phone (712) 642-2784

810 N 22nd St
Blair, NE 68008
Phone (402) 426-1116

14040 Boys Town Hospital Rd
Boys Town, NE 68010
Phone (402) 778-6800

450 E 23rd St
Fremont, NE 68025
Phone (402) 721-1610

14441 DuPont Ct
Ste 304
Omaha, NE 68144
Phone (402) 597-8775

6901 N 72nd St
Omaha, NE 68122
Phone (402) 572-2121

7100 W Center Rd
Omaha, NE 68106
Phone (402) 506-9000

11111 S 84th St
Papillion, NE 68046
Phone (402) 593-3000

Ownership & related parties

All facility ownership & control disclosures 16

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
CHI Health St MarysNebraska City, NE, CCN 281342 Hospital Corporate Director Sep 18, 2014
CHI Health SchuylerSchuyler, NE, CCN 281323 Hospital Corporate Director Sep 18, 2014
CHI Health SchuylerSchuyler, NE, CCN 28Z323 Hospital Corporate Director Sep 18, 2014
CHI Health Mercy CorningCorning, IA, CCN 161304 Hospital Corporate Director Sep 18, 2014
CHI Health Missouri ValleyMissouri Valley, IA, CCN 161309 Hospital Corporate Director Sep 18, 2014
CHI Health Missouri ValleyMissouri Valley, IA, CCN 16Z309 Hospital Corporate Director Sep 18, 2014
CHI Health PlainviewPlainview, NE, CCN 281346 Hospital Corporate Director Sep 18, 2014
CHI Health PlainviewPlainview, NE, CCN 28Z346 Hospital Corporate Director Sep 18, 2014
CHI Health Health at Home PlainviewPlainview, NE, CCN 287110 Home health agency Corporate Director Sep 18, 2014
CHI Health Clinic LoganLogan, IA, CCN 163431 Rural health clinic Corporate Director May 21, 2015
CHI Health Clinic DunlapDunlap, IA, CCN 163476 Rural health clinic Corporate Director Sep 18, 2014
CHI Health Clinic LenoxLenox, IA, CCN 163478 Rural health clinic Corporate Director Sep 18, 2014
CHI Health Clinic WoodbineWoodbine, IA, CCN 163477 Rural health clinic Corporate Director Sep 18, 2014
CHI Health Clinic ClarksonClarkson, NE, CCN 283461 Rural health clinic Corporate Director Sep 18, 2014
CHI Health Clinic PlainviewPlainview, NE, CCN 283402 Rural health clinic Corporate Director Sep 18, 2014
Nebraska City Medical ClinicNebraska City, NE, CCN 288522 Rural health clinic Corporate Director Sep 18, 2014

Owned or controlled facilities with NPI records 16

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

View all 16

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1162857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1264982400000",
    "number": "1316016785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4460",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681040460",
            "telephone_number": "866-491-5807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6901 N 72ND ST",
            "address_2": "ALEGENT IMMANUEL HOSPITAL DEPT OF RADIOLOGY",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681221709",
            "telephone_number": "402-572-2324"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HRUZA",
        "first_name": "SUZANNE",
        "middle_name": "L",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-07",
        "last_updated": "2010-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NE",
            "license": "17935",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0231191",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0945113",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1316016785",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2231191",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

Verify at the official NPI Registry.